Nursing Process 1(3).pptx for bsn generic
- 1. NURSING PROCESS PART-I PRESENYTED BYE LT(RT) ASFA MANZOOR
- 2. Learning Objectives At the end of the lecture students will be able to: • Define nursing process. • Describe the purpose of nursing process. • Identify the components of nursing process. • Discuss the requirements for effective use of nursing process. • Describe the functional health approach to the nursing process.
- 3. Nursing Process “Nursing process is a systematic rational method of planning and providing individualized nursing care.” • Its goal is to identify the client’s health care status, potential and actual health problems, to establish plans to meet the identified needs and deliver specific nursing interventions to address these needs.
- 4. Definition “An organized sequence of problem-solving steps used to identify and to manage the health problems of clients.” It is accepted for clinical practice established by the American Nurses Association.
- 5. Purposes of Nursing process Purposes of nursing process are: • To identify the client’s health status. • To identify actual or potential health care problems. • To establish plans to meet the identified needs. • To deliver specific nursing interventions to meet these needs. • To determine whether to continue, modify, or terminate the plan of care. • Purpose is to provide client care that is : • Individualized • Holistic • Effective • Efficient
- 6. Characteristics Of Nursing Process • Cyclic • Dynamic nature, • Client centeredness • Focus on problem solving and decision making • Interpersonal and collaborative style • Universal applicability • Use of critical thinking and clinical reasoning
- 7. Components Of Nursing Process The Nursing Process utilizes the following steps 1. Assessment (data collection), 2. Nursing diagnosis 3. Planning 4. Implementation 5. Evaluation. • Steps remain the same • Applications and result are different
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- 9. 1.Assessment Assessment involve: • Collection of data • Organizing the data • Validating the data • Documenting the data Assessment is the systematic and continuous collection, organization, validation, and documentation of data (information).
- 10. Assessment
- 11. Diagnosis Diagnosing is to : 1.Analyza data 2. Identify health problems, risks and strengths 3. Formulate diagnostic statement
- 12. Planning Planning involves: • Prioritize problems/ diagnosis • Formulate goals/desired outcomes • Select Nursing intervention • Write Nursing intervention
- 13. Implementation Implementing normally includes the following steps. • Reassessing the client • Determining the nurse’s need for assistance • Implementing the nursing interventions • Supervising the delegated care • Documenting nursing activities.
- 14. 5.Evaluation “Evaluation is a planned, ongoing, purposeful activity in which the nurse determines.’’ (A) the client’s progress toward achievement of goals/outcomes and (B) the effectiveness of the nursing care plan.
- 15. Evaluation Evaluation include the following steps. • Collect the data related to outcomes. • Compare data with outcomes. • Relate nursing actions to client’s goal. • Draw conclusion about problem status. • Continue, modify or terminate the care plan.
- 16. Requirement for Effective Use Of Nursing Process • The process should be open and flexible to meet the unique needs of client, family group or community. • It should be cyclic or dynamic. • It should be client centered. • It must be goal directed. • It should be planned.
- 17. Requirement for Effective Use Of Nursing Process • It must be interpersonal and collaborative. Because it requires the nurse to communicate directly with the client. • It should permit creativity for nurse and client to solve problem. • It should emphasize the feedback. • It should be universally applicable.
- 18. Functional Health Approach To Nursing Process • Gordon’s Functional Health Patterns is a method develops By Marjorie Gordon in 1987 proposed functional health patterns as a guide for establishing a comprehensive nursing data base. • Gordon's functional health patterns: Gordon's functional health patterns is a method used by nurses in the nursing process to provide a more comprehensive nursing assessment of the patient.
- 19. Functional Health Approach To Nursing Process By using these categories it’s possible to create a systematic and standardized approach to data collection, and enable the nurse to determine the following aspects of health and human function. 1. Health perception and management pattern: It focuses on the person’s perceived level of health and well-being, and on practices for maintaining health. Also evaluate Habits including smoking and alcohol or drug use.
- 20. 2. Nutrition and Metabolic Pattern • It focuses on the pattern of food and fluid consumption relative to metabolic needs. • Actual or potential problems related to fluid balance, tissue integrity, may be identified as well as problems with the gastrointestinal system.
- 21. 3.Elimination- Excretion Pattern • It focuses on excretory patterns (bowel, bladder, constipation, incontinence, diarrhea. 4. Activity- Exercise Pattern. It’s focused on the activities of daily living requiring energy expenditure, including self-care activities, exercise, and leisure activities.
- 22. 5. Sleep- Rest Pattern • It focuses on the person’s sleep, rest, and relaxation practices. • To identified dysfunctional sleep patterns, fatigue, and responses to sleep deprivation. 6. Cognitive- Perceptual Pattern • It’s focused on the ability to comprehend and use information and on the sensory functions. • Neurologic functions, Sensory experiences such as pain and altered sensory input.
- 23. 7.Self Perception/Self Concept Pattern Its focused on the person’s attitudes toward self, including identity, body image, and sense of self-worth. 8. Role- Relationship Pattern. It’s focused on the person’s roles in the world and relationships with others. Evaluate Satisfaction with roles, role strain, or dysfunctional relationships.
- 24. 9. Sexuality-Reproduction Pattern • It’s focused on the person’s satisfaction or dissatisfaction with sexuality patterns and reproductive functions. 10. Coping-Stress Pattern. It focuses on the person’s perception of stress and coping strategies Support systems, evaluated symptoms of stress, effectiveness of a person’s coping strategies.
- 25. 11. Value-Belief Pattern • It focuses on the person’s values and beliefs.
- 26. References Berman, A, T. Snyder, S. Frandsen. (2008). Fundamentals of Nursing: Concepts, Process, and Practice (10th ed. Pp 155-160). Pearson, USA. Jacob, A. R. R, Tarachand. S. J. (2011). Clinical Nursing Procedures: The Art of Nursing Practice (2nd ed.) JAYPEE: New Delhi. Thapa, B. (2002). Fundamentals of Nursing (1st ed.) Jaypee. New Delhi. India. Jacob, A. R. R, Tarachand. S. J. (2011). Clinical Nursing Procedures: The Art of Nursing Practice (2nd ed.) JAYPEE: New Delhi.